Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $156.94 / $156.94	Facility		$156.94	$156.94	$156.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $164.67 / $192.54	Professional		$156.94	$164.67	$192.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.79 / $222.79 / $229.52	Professional		$222.79	$222.79	$229.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $156.94 / $175.66 / $211.87	Facility		$156.94	$175.66	$211.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.52 / $187.65 / $204.91	Professional		$162.52	$187.65	$204.91
United Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $225.58 / $295.85	Professional		$175.08	$225.58	$295.85